Client Information Form
Name
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First Name
Last Name
Email
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Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please list any allergies or intolerances & include their severity (for example, if you have a nut allergy, can you consume food that has been prepared in a kitchen that handles nuts even if they’re stored & prepared separately?)
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Please list any relevant medical conditions
Please list any other dietary requirements, likes & dislikes (the more detail the better & if they’re relevant, please include any nutrition targets/goals like Calories & macronutrients or any diet that you follow. Feel free to include example meals you enjoy too).
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Please select the most relevant to your preferences
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The tastiest food possible - I don't mind if it's not super healthy
Healthy & tasty food - prioritising taste
Healthy & tasty food - prioritising my nutrition goals (don't worry, this doesn't mean bland, it just might mean a little butter or sugar isn't added to a dish).
To give us an idea of your preferences, please tick any dishes you like the sound of (these won't necessarily be dishes that we prepare for you but it gives us an idea of the flavours you like)
Black garlic braised beef with red wine beef jus, potato puree & green vegetables
Mongolian beef with sticky rice & mixed vegetables
Beef tartare with confit garlic & a fermented berry & root vegetable salad
Beef & pork meatballs with pomodoro pasta
Lamb koftas with tabbouleh, high protein tzatziki & grilled vegetables
Braised lamb shank with celeriac puree & asparagus & pea dukkah salad
Satay chicken with jasmine rice & crunchy lime & sesame vegetables
Maple marinated chicken supreme (or thighs) with thyme sauce, crushed root vegetables & mustard green beans
Sweet & sour chicken with basmati rice & vegetable salad
Tuna poke bowl with kombu rice, Asian slaw, edamame & kimchi
Lemon dressed tuna steak with Tuscan tomato sauce, mix grains & lemon basil green vegetables
Miso glazed salmon with a chilli noodle salad
Garlic, chilli & ginger prawn & vegetable rice stir fry
Sri Lankan curried cod with jasmine rice & green vegetables
Thai lemongrass & chickpea curry with jasmine rice (v)
Mushroom, lentil & Japanese sweet potato cottage pie (v)
Butternut squash, cashew & lentil dhal (v)
Mixed bean & roasted vegetable ratatouille with herb crushed sweet potato & grilled vegetables (v)
Broccoli, sun-dried tomato & feta frittata (v)
Vegetarian poke bowl, with teriyaki tofu, soy marinated egg, kombu rice, Asian slaw, edamame & kimchi (V)
Smoked chickpea & feta shashuka with poached eggs
Which suppliers would you like us to use?
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High street supermarkets like Tesco & Sainsburys
Organic & higher end suppliers
A mix of both
Please add any additional information relevant to the suppliers you'd like us to use (for example, you'd like everything to be organic if possible).
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How many meals would you like to be catered for? and which ones specifically (e.g. lunch & dinner 4 times per week)?
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What would you like to gain from this service?
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If relevant please select the equipment you'd like to use to reheat your food.
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Oven
Microwave
Air fryer
Hob
Not relevant
If relevant please explain your activity level? (if you’re unsure give a brief overview of a daily schedule. For example: walk 30 mins to work, work at a desk most of the day, walk home, gym for 60 minutes, relax).
Please add any more relevant information
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